| NPI | 1952016370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.01010403-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 211090) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-07-20 |